COVID-19 15Mar20 It’s The Rate Of Spread Stupid

The Game Of Loads And Vectors is a game of numbers. Sadly, far to many in the media and online are playing a very dangerous game with the numbers. One group uses each new case, each famous person (or even people related to or vaguely related to a famous person) to stoke fear and panic and/or for personal gain. The other group of idiots is using numbers to claim this isn’t a real threat.

As I’ve noted before, it is not the total number of cases or the number of deaths that truly matters right now. The outcome for people with COVID-19 is going to be vastly different from the outcomes in China, Iran, or elsewhere. Here, the most at-risk population is going to be 70+ with underlying health conditions, and/or those who smoke cigarettes heavily now or previously. A good bit of that has to do with the ACE2 binding previously discussed. For most in the U.S., it will likely be much like having a regular flu.

The real threat we face is in controlling the rate of spread. Why did China, Iran, and Italy have the outcomes they have/are having? It spread rapidly, and overwhelmed the health systems. They simply did not have the beds, the ICU beds, or the supplies to handle the huge number of cases that hit.

Right now, according to the American Hospital Association, there are 924,107 staffed hospital beds in all types of hospitals including psychiatric and other specialty hospitals. There are 792,417 staffed beds in community hospitals. Where there are 97,776 staffed ICU beds in the U.S., only 46,825 of them are medical/surgical intensive care.

While many will have very mild symptoms, there is a percentage of patients that require time in the ICU. This paper looks at data from China (and acknowledges that the official data is problematic) to try to estimate how many that will be, and comes to a max of 2.6 – 4.9 per 10,000 adults. This report looks at Italy and reports a rate of 11 percent needing ICU. This report lays out why COVID-19 is worse than the flu, and looks at the impact on the healthcare system — and on the rate of spread and how it could spread exponentially as in Italy and elsewhere.

So, using the 11 percent figure, there being curretly 2,952 cases in the U.S., that means approximately 325 patients will need long-term (days to weeks) of ICU care. With 46,825 staffed beds, we’re good, right? Yes, we are — today. Will that hold true tomorrow or even next week? The magic ball says maybe. Let’s look at the following two graphs.

This is from the Johns Hopkins interactive graphic that I’ve linked to in almost every post. Note the significant rise associated with the spread of COVID-19 in almost every location. Where spread has not been controlled, there is effectively exponential growth. Now, let’s look at the U.S.

This comes from the CDC, and while not interactive it does have a lot more data than I can show. I would urge you to scroll through the number of cases and watch how it jumps.

Again (and again), there was never any chance to prevent it from getting here, as the Chinese government has lied from the start and used it’s considerable power to prevent other nations from responding by stopping travel. There is no doubt that if President Trump had not — despite howls of outrage from China and the leaders of the Democratic party — put in place a travel ban things would be much worse.

All we can do now is slow the rate of spread. We have to do this to:

• Prevent the spread from overwhelming ICU beds, ventilators, and other medical treatment. Keep in mind that right now Italy has ordered hospitals to stop treating the elderly.

• To buy time to overcome bureaucratic and other roadblocks to testing. Effective, efficient, and fast testing is essential to being sure those who have COVID-19 get treatment and are prevented from helping spread the disease.

• To push the spread out into warmer weather, a time when colds and the flu normally drop off.

• To buy time to develop effective vaccines and treatments and get them made here since the Chinese are now threatening to cut off drug exports to the U.S. (even as they try to blame COVID-19 on us).

What is going on now is not an overreaction to “the flu” as many idiots are claiming. It is a needed, indeed almost a desperate, attempt to prevent our healthcare system from being overwhelmed like far too many others. The number to watch in the days ahead is NOT the number of cases (or who has gotten it), and it is not the number of deaths. It is the rate of spread. If the rate of spread drops, and the total number of cases stays low, we will be in very good shape from a healthcare perspective — and that will drive financial and other perspectives.

Right now, we are in good shape. Let’s all be smart and work together to help keep it that way.

If my posts are enjoyable, helpful, or otherwise a benefit, please consider hitting the tip jar. With the levels of stupid out there, really do need to up the strategic alcohol and tobacco reserves…


•My Amazon Wishlist

As always:

If you suspect you have COVID-19 or have been exposed: call your state health department and work with them so that you can be dealt with in a way that minimizes the chance of spreading the virus to those helping you and to the general public. Can’t get them? Call your local department or see if your health service has online/telemedicine screening set up; or see if one who has will let you use it even if you are not in their network. Do not go out in public, and don’t go to an ER or other facility without calling ahead. Be smart.

Use the interactive graphic to keep track of things. Is COVID19 an epidemic? Yes. Is it a Pandemic? Yes. Is there need for panic? NOHELL NO. Should you be paying attention? Yes. Hell yes. Should you be preparing? Yes, better late than never. And good luck finding/getting stuff.

Want to avoid catching COVID19 here in the U.S.? Wash your flippin hands frequently, wash them thoroughly every time you use the bathroom, then follow with hand sanitizer after every washing, use hand sanitizer liberally when you can’t wash on a regular basis. Cover your mouth and nose when you sneeze, and stay away from those who don’t. Also, keep your bugger hooks out of/away from your eyes, nose, and mouth. Do NOT shake hands with anyone, and avoid touching or being touched by strangers. Or your strange friends.

Avoid travel if at all possible. Right now, there is no way I’m going to a trade show, major convention, etc. If you can telecommute, get that set up now. If you have to travel, use lots of hand sanitizer and go to full flu protocols. If you have to use a public restroom, take full precautions including using paper towels and such to handle faucets, doors,etc.  Believe it or not, this was highly recommended before now, and major grocery chains have long told employees to use those practices to avoid getting or spreading colds, flu, etc.  Not many actually do it, but…  

If you own a business, make sure your employees know the above protocols. Have someone who refuses to wash their hands or otherwise follow the protocols? Talk to them, write them up, and if necessary fire them as they now pose a risk of infection to you and your customers. Extreme? Yes, but while the CDC and others are working to slow it down, odds are it is already here and could hit hard and fast. Prepare for the worst and hope for the best.

I want to reiterate that there is no need for panic, but there is a strong need to be alert, be informed, and be prepared.

Other COVID19/COVID-19/2019-nCoV articles:

COVID-19 14Mar20

COVID-19 13Mar20 The Game Of Loads And Vectors Gets Real For America

COVID-19 12Mar20

COVID-19 11Mar20

COVID-19 10Mar20

COVID-19 9Mar20 The Game Of Loads And Vectors

COVID-19 8Mar20

Heh

COVID-19 7Mar20 How To Do It Right If You Have/Have Been Exposed To COVID-19

COVID-19 6Mar20

COVID-19 5Mar20

COVID-19 4Mar20

COVID-19 3Mar20

COVID-19 What Am I Doing?

COVID-19 2Mar20

COVID-19 1Mar20

COVID-19 29Feb20

Quick Additional Thoughts On The Bureaucracy

Panic Is Off And Running

COVID-19 28Feb20 Reasons To Hope, Reasons To Fear

COVID-19 A Plea To The Politicians (And Media)

COVID-19 27Feb20

COVID-19 Breaking A Chain?

COVID-19 26Feb20

COVID19 The Situation In China Gets Even Weirder

COVID19 25Feb20

COVID19 24Feb20 Raising DEFCON

COVID19 23Feb20

COVID19 22Feb20

COVID19 21Feb20: Just Look At The Blooms Dear

COVID19 Update 20Feb20

COVID19 Update

Update & Quick Thoughts On Preparedness

Expansion On A Theme

Well Maybe I Was Wrong

Some Quick Thoughts On Coronavirus 2019-nCoV

Why Should You Be Prepared?

Keeping Alert

Coronavirus And Practical Preparedness

COVID-19 14Mar20

If you want to see innovative and effective leadership, you need look no further than to Donald Trump and the Task Force on COVID-19. Rather than seize a crisis to increase the size and scope of the stagnant and ineffective government, he instead showcased the best of American Exceptionalism to partner with industry on innovation that is already having dramatic results. I’m not surprised given some of the partnerships and investments in private enterprise solutions to find cures and speed development of vaccines, but yesterday was unprecedented. The declaration of emergency is clearing out the logjam of regulation so that real and effective steps can be taken and a host of problems solved.

Apparently others noticed this as well. The stock market didn’t just stage a rally, it had what is being reported as a record rise after the President announced his declaration and outlined the various steps being taken and had the leaders of the companies involved say a few words. Then, he had real experts on pandemics and related issues talk — as usual. He pointed out, correctly, that this is something that affects us all and requires government, industry, and even private citizens to work together to address. Contrast this with Pelosi et al and the despicable efforts to load the spending bill with pork and efforts to expand the bureaucracy. For me, I’m noting those who would play politics with the lives and safety of our Citizens and the Republic, and urge you to do so as well.

Also, contrast this with a media that has repeatedly lied, deliberately provoked panic, and now is openly promoting Chinese assets spewing propaganda. And the talking heads wonder why public trust in, and viewership/readership, has taken a nose dive.

More to say, but for now it will have to wait. I simply note that if not for the Trump economy, we would be in real and severe financial trouble. If not for the quick response of the President, responses taken despite efforts by political opposition and the deep state, the infection rate would be far larger and the spread far faster. I am more than impressed with his leadership in this crisis, and anyone who can look at the facts should be as well.

If my posts are enjoyable, helpful, or otherwise a benefit, please consider hitting the tip jar. With the levels of stupid out there, really do need to up the strategic alcohol and tobacco reserves…


•My Amazon Wishlist

As always:

If you suspect you have COVID-19 or have been exposed: call your state health department and work with them so that you can be dealt with in a way that minimizes the chance of spreading the virus to those helping you and to the general public. Can’t get them? Call your local department or see if your health service has online/telemedicine screening set up; or see if one who has will let you use it even if you are not in their network. Do not go out in public, and don’t go to an ER or other facility without calling ahead. Be smart.

Use the interactive graphic to keep track of things. Is COVID19 an epidemic? Yes. Is it a Pandemic? Yes. Is there need for panic? NOHELL NO. Should you be paying attention? Yes. Hell yes. Should you be preparing? Yes, better late than never. And good luck finding/getting stuff.

Want to avoid catching COVID19 here in the U.S.? Wash your flippin hands frequently, wash them thoroughly every time you use the bathroom, then follow with hand sanitizer after every washing, use hand sanitizer liberally when you can’t wash on a regular basis. Cover your mouth and nose when you sneeze, and stay away from those who don’t. Also, keep your bugger hooks out of/away from your eyes, nose, and mouth. Do NOT shake hands with anyone, and avoid touching or being touched by strangers. Or your strange friends.

Avoid travel if at all possible. Right now, there is no way I’m going to a trade show, major convention, etc. If you can telecommute, get that set up now. If you have to travel, use lots of hand sanitizer and go to full flu protocols. If you have to use a public restroom, take full precautions including using paper towels and such to handle faucets, doors,etc.  Believe it or not, this was highly recommended before now, and major grocery chains have long told employees to use those practices to avoid getting or spreading colds, flu, etc.  Not many actually do it, but…  

If you own a business, make sure your employees know the above protocols. Have someone who refuses to wash their hands or otherwise follow the protocols? Talk to them, write them up, and if necessary fire them as they now pose a risk of infection to you and your customers. Extreme? Yes, but while the CDC and others are working to slow it down, odds are it is already here and could hit hard and fast. Prepare for the worst and hope for the best.

I want to reiterate that there is no need for panic, but there is a strong need to be alert, be informed, and be prepared.

Other COVID19/COVID-19/2019-nCoV articles:

COVID-19 13Mar20 The Game Of Loads And Vectors Gets Real For America

COVID-19 12Mar20

COVID-19 11Mar20

COVID-19 10Mar20

COVID-19 9Mar20 The Game Of Loads And Vectors

COVID-19 8Mar20

Heh

COVID-19 7Mar20 How To Do It Right If You Have/Have Been Exposed To COVID-19

COVID-19 6Mar20

COVID-19 5Mar20

COVID-19 4Mar20

COVID-19 3Mar20

COVID-19 What Am I Doing?

COVID-19 2Mar20

COVID-19 1Mar20

COVID-19 29Feb20

Quick Additional Thoughts On The Bureaucracy

Panic Is Off And Running

COVID-19 28Feb20 Reasons To Hope, Reasons To Fear

COVID-19 A Plea To The Politicians (And Media)

COVID-19 27Feb20

COVID-19 Breaking A Chain?

COVID-19 26Feb20

COVID19 The Situation In China Gets Even Weirder

COVID19 25Feb20

COVID19 24Feb20 Raising DEFCON

COVID19 23Feb20

COVID19 22Feb20

COVID19 21Feb20: Just Look At The Blooms Dear

COVID19 Update 20Feb20

COVID19 Update

Update & Quick Thoughts On Preparedness

Expansion On A Theme

Well Maybe I Was Wrong

Some Quick Thoughts On Coronavirus 2019-nCoV

Why Should You Be Prepared?

Keeping Alert

Coronavirus And Practical Preparedness

COVID-19 12Mar20

The last week has had me really wanting to just bang my head on the desk, the wall, or any other hard surface. Or, to hit the already way-to-slim strategic alcohol reserve. Those seem to be the two best responses to the needless panic and media-fueled hysteria over COVID-19.

Yes, it is serious though as we are getting good data (finally!) we are seeing less impact here than is being seen elsewhere. As noted in previous updates, that is because of better health, better health systems, better public and private sanitation, better air quality, and a few other factors. The key for us remains to keep it from overwhelming the health system which it can and will do unless the rate of spread is slowed. Here, unless you are older (70+) and/or have an underlying health condition(s), the odds are it will be more like a cold or flu. If you are in the demographic mentioned, then you have a far greater chance of serious illness or death. Again, so long as we can keep on top of it, and not let things get out of hand, this should remain the case.

That is why I am glad for the travel ban, and I personally would have expanded it a bit. It is why I am glad to see schools, sports, and others cancelling events or going to virtual attendance and participation. It breaks vector chains, which along with good hygiene to lower personal viral loads, should slow down or effectively stop the spread for now. I also fully expect a partisan reaction to it, given that the opposition also fully and strongly opposed the China travel ban, which has been proven to have been effective.

As for the media/political complex, please go read this and then go read this. The media has worked hard to lose the public trust for quite some time, and they can’t understand why people don’t trust them — even as they openly lie about events for partisan purposes.

For those who still claim the CDC and more government are the be-all and end-all, and just what we need to deal with things like this, go read this from the New York Times. (Hat Tip Instapundit) When you’ve lost the Times… Keep in mind that the CDC, WHO, FDA, etc. are first and foremost political agencies and not medical/health agencies. You don’t build power and budgets by sticking to your tasks after all. Don’t think WHO is mostly political (despite some good people working for it)? Then why was it only yesterday that they declared this a pandemic? (Hint, China).

Speaking of China, this bullshit about calling the Wuhan virus the Wuhan virus, the Wuhan coronavirus, etc. being racist is beyond ridiculous. Telephone call for those pushing that: West Nile, Lyme Disease, and the Spanish Flu would like a word with you… Also, counter-intel types: pay attention to who starts this, as you likely will find Chinese money and influence at work, sometimes in the highest levels of government.

Do me a favor: anyone who wants to help me build up the strategic alcohol and tobacco reserves so I can keep wading through the raging torrents of stupid out there, please feel free to do so.

Again, there is no need to panic. In some ways, it is worse than the flu, and in others (for others) it is not. What is needed is rational thought, rational preparedness and response, and just general rationality. To get the latter (or most any of the rest) turn off the media. Then, try turning on your brain. Read, study, listen, learn.

But, hey, don’t listen to me. I’ve only been a science writer (former journalist) for more than 30 years covering medical/biomedical research during that time; been involved with medical/biomedical research to varying degrees for more than 10 years; and earned my basic Military Emergency Management Systems certification/badge. Obviously, by the standards of the politico/media elite, I have no clue what I’m talking about.

As always:

Use the interactive graphic to keep track of things. Is COVID19 an epidemic? Yes. Is it a Pandemic? Yes. Is there need for panic? NO. Should you be paying attention? Yes. Hell yes. Should you be preparing? Yes, better late than never. And good luck finding/getting stuff.

Want to avoid catching COVID19 here in the U.S.? Wash your flippin hands frequently, wash them thoroughly every time you use the bathroom, then follow with hand sanitizer after every washing, use hand sanitizer liberally when you can’t wash on a regular basis. Cover your mouth and nose when you sneeze, and stay away from those who don’t. Also, keep your bugger hooks out of/away from your eyes, nose, and mouth. Do NOT shake hands with anyone, and avoid touching or being touched by strangers. Or your strange friends.

Avoid travel if at all possible. Right now, there is no way I’m going to a trade show, major convention, etc. If you can telecommute, get that set up now. If you have to travel, use lots of hand sanitizer and go to full flu protocols. If you have to use a public restroom, take full precautions including using paper towels and such to handle faucets, doors,etc.  Believe it or not, this was highly recommended before now, and major grocery chains have long told employees to use those practices to avoid getting or spreading colds, flu, etc.  Not many actually do it, but…  

If you own a business, make sure your employees know the above protocols. Have someone who refuses to wash their hands or otherwise follow the protocols? Talk to them, write them up, and if necessary fire them as they now pose a risk of infection to you and your customers. Extreme? Yes, but while the CDC and others are working to slow it down, odds are it is already here and could hit hard and fast. Prepare for the worst and hope for the best.

I want to reiterate that there is no need for panic, but there is a strong need to be alert, be informed, and be prepared.

Other COVID19/COVID-19/2019-nCoV articles:

COVID-19 11Mar20

COVID-19 10Mar20

COVID-19 9Mar20 The Game Of Loads And Vectors

COVID-19 8Mar20

Heh

COVID-19 7Mar20 How To Do It Right If You Have/Have Been Exposed To COVID-19

COVID-19 6Mar20

COVID-19 5Mar20

COVID-19 4Mar20

COVID-19 3Mar20

COVID-19 What Am I Doing?

COVID-19 2Mar20

COVID-19 1Mar20

COVID-19 29Feb20

Quick Additional Thoughts On The Bureaucracy

Panic Is Off And Running

COVID-19 28Feb20 Reasons To Hope, Reasons To Fear

COVID-19 A Plea To The Politicians (And Media)

COVID-19 27Feb20

COVID-19 Breaking A Chain?

COVID-19 26Feb20

COVID19 The Situation In China Gets Even Weirder

COVID19 25Feb20

COVID19 24Feb20 Raising DEFCON

COVID19 23Feb20

COVID19 22Feb20

COVID19 21Feb20: Just Look At The Blooms Dear

COVID19 Update 20Feb20

COVID19 Update

Update & Quick Thoughts On Preparedness

Expansion On A Theme

Well Maybe I Was Wrong

Some Quick Thoughts On Coronavirus 2019-nCoV

Why Should You Be Prepared?

Keeping Alert

Coronavirus And Practical Preparedness

Chinese Operatives

Image stolen from Liberty.Me/Ombreolivier

If there are competent counter-intelligence officers and operations out there (something I’m beginning to doubt), they should be having a field day with the number of operatives and influencers working for the Chinese government who have self-identified over the last few weeks. Here in the U.S. it has been amazing to watch how many have come forth, including in the media. One hopes that any such hypothetical competent officers and operations are quietly investigating same.

Meantime, things have reached a point where the U.S. has declared five Chinese media operations as state propaganda efforts. Long overdue.